Ryan Alvin Holt, MD is a medicare enrolled "Anesthesiology" physician in Iron Mountain, Michigan. His current practice location is
325 E H St, Iron Mountain, Michigan. You can reach out to his office (for appointments etc.) via phone at
(906) 774-3000.
Ryan Alvin Holt is licensed to practice in New York (license number 239932) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1669430898.
Physician's Profile
Full Name | Ryan Alvin Holt |
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Gender | Male |
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Speciality | Anesthesiology |
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Location | 325 E H St, Iron Mountain, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1669430898
- Provider Enumeration Date: 05/04/2006
- Last Update Date: 12/12/2018
Medicare PECOS Information:
- PECOS PAC ID: 0042223554
- Enrollment ID: I20230601001419
Medical Identifiers
Medical identifiers for Ryan Alvin Holt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669430898 | NPI | - | NPPES |
100001898 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207LP2900X | Anesthesiology - Pain Medicine | 52380-020 (Wisconsin) | Secondary |
207L00000X | Anesthesiology | 239932 (New York) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ryan Alvin Holt allows following entities to bill medicare on his behalf.
Entity Name | Hospitalist Medicine Physicians Of Michigan-alpena Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043818156 PECOS PAC ID: 6406260124 Enrollment ID: O20210120002607 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ryan Alvin Holt is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ryan Alvin Holt, MD 325 E H St, Iron Mountain, MI 49801-4792 Ph: (906) 774-3000 | Ryan Alvin Holt, MD 325 E H St, Iron Mountain, MI 49801-4792 Ph: (906) 774-3000 |
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